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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
GNL DEVELOPMENT GP
1115 E FRONT ST
PORT ANGELES
(360) 452-7861
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
06-00000670 Date
438480
1802 W 15TH ST
06-30-00-0-4-3800-0000-
RICK ANDERSON
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
144233
Contractor
ANDERSON HOMES LLC
618 SOUTH PEABODY
WA 98362 PORT ANGELES
(360) 452-4641
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
BUILDING PERMIT -RESIDENTIAL
80929
1272.25
7/24/06
1/20/07
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
45.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
83055
89.65 Plan Check Fee
7/24/06 Valuation
1/20/07
Qty Unit Charge Per
BASE FEE
4.00 7.2500 ECH ME-VENT FAN
1.00 10.6500 ECH ME-VENT SYSTEM OTHER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
83063
156.00
7/24/06
1/20/07
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
11.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
1.00 7.0000 ECH PL- EA.WATER HEATER
7/24/06
~
~
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WA 98362
25.00
2.00
7000.00
1750.00
1. 00
508.90
144233
Extension
1020.25
252.00
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C;~ --
.00
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Extension
50.00
29.00
10.65
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Extension
50.00
77.00
7.00
15.00
7.00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspectlon;-I'herebycertify-that-l-have-read ane-examined-thisapplication and know the same to be true and correct. All provisions of
laws and ordinances governing t 's type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authori to ola e or cancel the p'rovisions of any state or local law regulating construction or the performance of
con~ io.
I
7 -J '2.-~'" ob
uthorized Agent Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
Signature of Owner (if owner is builder)
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4 I 7-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\] 102_15 building permit inspection record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 06-00000670
Application pin number 438480
Page
Date
2
7/24/06
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
A residential fire sprinkler system, installed per NFPA
13D, will be required.
~2nd option is to install an outside alarm bell that is
~inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as lIFire alarm"
06/29/2006 09:25 AM SROBERDS - The proposal is a new sfr
w/attached garage in the RS-7 zone. Total lot coverage is
25%. No land use issues anticipted.
Electrical load calculations and elctrical permits are
required.
Connection fee to overhead primary is $410.00
06/26/2006 01:20 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the Ciby . .
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4..50.
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1517.90 1517.90 .00 .00
Plan Check Total 508.90 508.90 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 4101.30 4101.30 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE
DATE
ACCEPTED
COMMENTS
SHEAR WALLS 1 WALLS
FOUNDA TI~ DRAINAGE I,hoWN SPOUTS
'-- ...........
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YES
NO
FOUNDATION:
FOOTINGS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
1 I
IlI/hlOb a~
fry I?, / Ih --rW
, ,
FINAL ~/~/O 7 DATE
I
ACCEPTED BY:
/.
i b / rl/ (If,:; 1>8
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TO//_J/YA
.-
In/ ., I tJ~
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(//4,/
PI?
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I/D/Ufd)&:' ~
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GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
FINAL J1Lfo7DATE
ACCEPTED BY: ~
~~
~~~,
~~
~
~
DATE ACCEPTED .
YES NO
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL
ELECTRlCAL - LIGHT DEPT.
417-4735
ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI
ENGINEERING
FIRE
417-4807
I
CONSTRUCTION - R.W.
PW 1 ENGINEERING
417-4653
FIRE DEPT.
PLANNING DEPT.
417-4750
/
'M /
v
PLANNING DEPT.
I J
BUILDING 417-4815 ~ /~I ()/
T:IPoliciesllI02_15 building permit inspection record05.wpd [1/4/2005]1
BUILDING
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CITY OF PORT ANGELES
PUBLIC WORKS - UTIT..ITIES DNISION
321 EAST5THSlREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
GNL DEVELOPMENT GP
1115 E FRONT ST
PORT ANGELES
(360) 452-7861
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
7/24/06
06-00000670 Date
438480
1802 W 15TH ST
06-30-00-0-4-~800-0000-
RICK ANDERSON
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
144233
Contractor
ANDERSON HOMES LLC
618 SOUTH PEABODY
WA 98362 PORT ANGELES
(360) 452-4641
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
25.00
2.00
7000.00
1750.00
1. 00
PUBLIC WORKS RES WATER SERV
5/8" DROP IN METER
81406
175.00 Plan Check Fee
7/24/06 Valuation
1/20/07
.00
144233
Qty Unit Charge Per
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BASE FEE
Extension
175.00
RIGHT OF WAY
813 98
50.00
7/24/06
1/20/07
Plan Check Fee
Valuation
.00
144233
Qty unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
SANITARY SEWER HOOK UP
81380
110.00
7/24/06
1/20/07
Plan Check Fee
Valuation
.00
144233
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Address numbers shall be plainly'visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
A residential fire sprinkler system, installed per NFPA
13D, will be required.
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to . ate or cancel the provisions of any state or local law regulating construction or the performance of
co~n.
rL LC~ ~Z- -' 6b
Sig ature of Contracto pr Authorized Agent Date Signature of Owneriif owner is builder) Date
T:\Policies\II02.ISR {1I0S]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUITER
DRlVEW A Y APPROACH I
BACK-FLOW DEVICE 1
I
I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policics\1102.15R [1/05]
s
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DMSION
321 EAST STII STREET, PORT ANGELES, WA 98362
Application Number . . . . . 06-00000670
Application pin number 438480
Page
Date
2
7/24/06
Special Notes and Comments
2nd option is to install an outside alarm bell that is
inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarmll
06/29/2006 09:25 AM SROBERDS - The proposal is a new sfr
w/attached garage in the RS-7 zone. Total lot coverage is
25%. No land use issues anticipted.
Electrical load calculations and elctrical permits are
required.
Connection fee to overhead primary is $410.00
06/26/2006 01:20 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 335.00 335.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 2409.50 2409.50 .00 .00.
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have. read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating ~onstruction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policics\II02.15R [1105]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOC.~TlON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\11 02.1 SR [1105]
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent:
({( C{C.
Address: 6/& $,
Owner:
/3/f/Gtl/ ;c::eo/~H
MJO/!f(.9()A}
~p( ~r
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA _ MC _ #
TYPE OF WORK:
YResidential ..li!""'"New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
SIZE/VALUATION: ''".1..o;t
nso SF. @ $_ ,fP.O!JsF. = $ ~~, ~'2 e,
518 SF.@$_U.-~SF.=$_I.l DiG-_
SF. @ $ /SF. = $
TOTAL VALUATION $~:]..,?:?
S'11J4L~ FA-ttN L'( R85:l'kJl?d.lr,/:;.
,.(lev CCJ,fjC:TT4!ctICW
No. of Stories: 2.. Lot Size:
Total lot coverage '2;::'
COMMERCIAL/RESIDENTIAL: Occupancy Group:
71,'tJO
%
Occupant Load: Construction Type:
& Proposed Sq. Ft. 1150
PLANNING USE ONLY:
APPROV ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -48 I 5 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans
are submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R I 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work. . h ~ I/J
APPhcant~ tfL- Date: lJy--I'7-t?~
Vl g.~tE>t.p SfDke- W / J2-\~ A.~'- ~ ~~
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 F~st srH ~l.:~~:r.J~~T ANqELES. .WA 98362
- --
l' I
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER.
Tenant nbr, name
Appl~cation type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
06-00000670 Date 11/27/06
438480
1802 W 15TH ST
06-30-00-0-4-3800-0000-
RICK ANDERSON
RES NEW SFR
RS7 RESDNTL SI~~LE ~~ILY
144233':' :, -~_::--;_,,;;:';
Owner
Contractor
GNL DEVELOPMENT GP
1115 E FRONT ST
PORT ANGELES
(360) 452-7861
Other struct info
ANDERSON HOMES LLC
618 SOUTH PEABODY
WA 98362 PORT ANGELES
(360) 452-4641
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
25 00
2.00
7000 00
1750.00
1. 00
Permit
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Exp~ration Date
ELECTRICAL NEW RESIDENTIAL
CURRENT/ 2300 SQ FT SFR
89045
CURRENT ELECTRICAL
143.20
11/27/06
5/26/07
CNTRG INC
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per Extension
1.00 73.0000 ECH EL-R-SQFT FIRST.1300 73.00
3 00 23.4000 5C EL-R-SQFTcADDITIONAL'SOOO' 70.20
-------------------________________________2:Cr_:UD2ESOB_~~~________________
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background
A residential fire sprinkler system, installed per NFPA
13D, will be required.
2nd option is to inst~ll an outside alarm bell that is
inter-connected to bhe residence's smoke detectors.
The alarm bell will'be painted red in color and identified
as IIFire alarm" ....i..: .It.l.: .......:-.1J-'1 ~
06/29/2006 09: 25 AM SROBERDS - ThelCproposa);Lfs a new sfr- <, j ,2
w/attached garage in the RS-7 zone: Total loE c6v~rage is
25%. No land use issues anticipted. of,' 'r:
Electrical loaq calculations and elctrical permits are
requ~red
Connection fee to overhead primary is $410 00
06/26/2006 01:20 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct dri~eway and Sidewalks to City Standards
No concrete with exposed aggregate allowed. in the City
road right of way. An inspection by pubricI1Worksk FEe ,
Engineering is required-pi'ior~to pi:ourlng1contre-ce'.:"-.--~-- - --"-~' - -r'
COMMENTS/ACTION NEEDED
, ~ 1
~ iT i 1 ~
,:dt('lj" ~n!lt'll1l!'ri t>er l'jJ?PA'
-_.~....~. -~.... --
~ "n hI'> 11 ~ b rt t
... ",.-,4
, ,\ ' ~ i..
co
o
~
~
--
.ll\
\1-
:~
,
I
'~
~
-) . cJ~~1
, " - ---_- _.,......l32:l$F~..
CITY OF PORT ANGELES
1 S - ICAL DIVISION
"1r" ~'~. ,
'. lll(iEB~.t"w~~c.ztl3~2
- ',"
Application Number
Application pin number-
06-00000670
438480
Page 2
Date 11/27/06
Other Fees RES OVERHEAD SERVICE FEE 410.00
SEWER SYSTEM DELV CHARGE 870.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1200.00
-------------------------------------~-------~-~-~-~~;4~~~~;(f--------------
Fee summary Charged -' - Pard 'd.~;~:~-'c'~:~d~tJa-';;(f1;~:: Due, ,''. ,., ,- .
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 143.20 143.20 .00 00
Plan Check Total 00 00 .00 00
Other Fee Total 2484.50 2484.50' .00 .00
Grand Total 2627.70 2627.70 .00 .00
. j> , ,,.: ;",.' ,:.'."-oJ',".... ," ~~..
J..':;v '.:.... ... ~ .... ',..~...,
,",,_w;~~:~:t2.~ -;" . ~-_-?~'._:;..;..:__--~-
,,' ('V'!1'nHF."AD $ERVTc FEE ~ j 1 C -
~-. l El.1 ,lFL\' ('f.{;F\.+'
L,I
,,~ I 70 }
'S\~..,
Af' .... <
, . ~ >
-'-" ,...- .
":~;
COMMENTS/ACTION NEEDED
t
.,
;'
ELECTRICAL PERMIT INSPECTION RECORD
CA\,L 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02.1S 14'961
r\
y
Oct 16 06 08:30a
Current Electrical Cant
3604571873
p.1
.
"" 1)1\/
0/
~.~....
(; ~. '.. ..
f/I~
~; '~m_ ~l
.......
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
;q Electrical Contractor 0 Owner
Install:uion description
I:) Commercial 0 Residential
Electrical conlraClor name
License number
Date Expires
~pns;reqti
~w
o Altered/Addition
Cv~-r a~"~ Q:t..Je-
Purchaser's m<liling address
Po &1' ;:::>511/7
C;tv 17 ~
f6f&T 6u:p-.5
Tcll:phonc number
3'
for t:.. tJJ
0'"0V' 5Q. +T
State ZIP
t;J4 4 ~s{;,Z.
FAX number
gg(l:\;'" -1'tJ73
Premise^ owner's Dame. I \
. ~JQE-i~t:mv ~~5
Address of in~ection. ~" F) '>
-1-atlaeW I~= j<'500 LtJ
!1.....J iH PS. tJ <4
JS'#
~
" <.:oeT
rhone number to schedule inspection:
011'//" <IS d('j'/Ilcd hI' RCJfJ9.28.26f:(I) OIl'II/:r wifl occupy (he slnlctt/rc fur fwO
ycu,... alil..'t' thjs e!ect;icaf pt!rmir i,\:jitwfi=cd. (2) Owm;,1' is required fv hire on elec/rlcol
contractor il ahove ,~uid l'ropcr~\' is for solc. rent or l('ase.
After reading the ab(l""c statement, J hereby certify thnt I am the owner of the above
named property or a licensed electrical contractor. I am making the ckclrical instal-
lation or alteration in compliance with the electrical laws. N.E.C., ReW. Chapter
19.~8, WAC. Chapter 296-468, The City of Porl Angeles Municipal Code, and
Utility Specifica .
Si~ha eetrical contractor or electrical administr:Hor
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
Date: t~ i ~ 'W"e(
Expiration Date
of card
o
ctrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heal Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Vollage
Phase a 1 0 3
Service Size:
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
//}-llrLXo _~
D:llc Al'IUO,'ed 8y
z 0.. 0 FINA~fJ
THERMOSTAT
Oat.: Al'l'rov~ll tly
DITCH
l)~lc "ppro~cd By ./
SERVICE
10-1(,,-D(, ~
Dale Al'prOYCdt;-
FEEDER
Dale: '\PI'TO\'cl!!l.y
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
[nspeetor
eO
c.
I
f/C{) /0/6/06
..~
~